DEIR AL-BALAH: Children in sandals trudge through water contaminated with sewage and scale growing mounds of garbage in Gaza’s crowded tent camps for displaced families. People relieve themselves in burlap-covered pits, with nowhere nearby to wash their hands.
In the stifling summer heat, Palestinians say the odor and filth surrounding them is just another inescapable reality of war — like pangs of hunger or sounds of bombing.
The territory’s ability to dispose of garbage, treat sewage and deliver clean water has been virtually decimated by eight brutal months of war between Israel and Hamas. This has made grim living conditions worse and raised health risks for hundreds of thousands of people deprived of adequate shelter, food and medicine, aid groups say.
Hepatitis A cases are on the rise, and doctors fear that as warmer weather arrives, an outbreak of cholera is increasingly likely without dramatic changes to living conditions. The UN, aid groups and local officials are scrambling to build latrines, repair water lines and bring desalination plants back online.
COGAT, the Israeli military body coordinating humanitarian aid efforts, said it’s engaging in efforts to improve the “hygiene situation.” But relief can’t come soon enough.
“Flies are in our food,” said Adel Dalloul, a 21-year-old whose family settled in a beach tent camp near the central Gaza city of Nuseirat. They wound up there after fleeing the southern city of Rafah, where they landed after leaving their northern Gaza home. “If you try to sleep, flies, insects and cockroaches are all over you.”
Over a million Palestinians had been living in hastily assembled tent camps in Rafah before Israel invaded in May. Since fleeing Rafah, many have taken shelter in even more crowded and unsanitary areas across southern and central Gaza that doctors describe as breeding grounds for disease — especially as temperatures regularly reach 90 degrees Fahrenheit (32 degrees Celsius).
“The stench in Gaza is enough to make you kind of immediately nauseous,” said Sam Rose, a director at the UN agency for Palestinian refugees.
Conditions are exacting an emotional toll, too.
Anwar Al-Hurkali, who lives with his family in a tent camp in the central Gazan city of Deir Al-Balah, said he can’t sleep for fear of scorpions and rodents. He doesn’t let his children leave their tent, he said, worrying they’ll get sick from pollution and mosquitoes.
“We cannot stand the smell of sewage,” he said. “It is killing us.”
Basic services breakdown
The UN estimates nearly 70 percent of Gaza’s water and sanitation plants have been destroyed or damaged by Israel’s heavy bombardment. That includes all five of the territory’s wastewater treatment facilities, plus water desalination plants, sewage pumping stations, wells and reservoirs.
The employees who once managed municipal water and waste systems have been displaced, and some killed, officials say. This month, an Israeli strike in Gaza City killed five government employees repairing water wells, the city said.
Despite staffing shortages and damaged equipment, some desalination plants and sewage pumps are working, but they’re hampered by lack of fuel, aid workers say.
A UN assessment of two Deir Al-Balah tent camps found in early June that people’s daily water consumption — including drinking, washing and cooking — averaged under 2 liters (about 67 ounces), far lower than the recommended 15 liters a day.
COGAT said it’s coordinating with the UN to repair sewage facilities and Gaza’s water system. Israel has opened three water lines “pumping millions of liters daily” into Gaza, it said.
But people often wait hours in line to collect potable water from delivery trucks, hauling back to their families whatever they can carry. The scarcity means families often wash with dirty water.
This week, Dalloul said, he lined up for water from a vendor. “We discovered that it was salty, polluted, and full of germs. We found worms in the water. I had been drinking from it,” he said. “I had gastrointestinal problems and diarrhea, and my stomach hurts until this moment.”
The World Health Organization declared an outbreak of Hepatitis A that, as of early June, had led to 81,700 reported cases of jaundice — a common symptom. The disease spreads primarily when uninfected people consume water or food contaminated with fecal matter.
Because wastewater treatment plants have shut down, untreated sewage is seeping into the ground or being pumped into the Mediterranean Sea, where tides move north toward Israel.
“If there are bad water conditions and polluted groundwater in Gaza, then this is an issue for Israel,” said Rose, of the UN agency for Palestinian refugees. “It has in the past prompted actions by Israel to try and ameliorate the situation.”
COGAT said it’s working on “improving waste management processes” and examining proposals to establish new dumps and allow more garbage trucks into Gaza.
Where can garbage go?
Standing barefoot on a street in the Nuseirat refugee camp, 62-year-old Abu Shadi Afana compared the pile of garbage next to him to a “waterfall.” He said trucks continue to dump rubbish even though families live in tents nearby.
“There is no one to provide us with a tent, food, or drink, and on top of all of this, we live in garbage?” Afana said. Trash attracts bugs he’s never seen before in Gaza — small insects that stick to his skin. When he lies down, he said, he feels like they’re “eating his face.”
There are few other places for the garbage to go. When Israel’s military took control of a 1-kilometer (0.6-mile) buffer zone along its border with Gaza, two main landfills east of the cities of Khan Younis and Gaza City became off-limits.
In their absence, informal landfills have developed. Displaced Palestinians running out of areas to shelter say they’ve had little choice but to pitch tents near trash piles.
Satellite images from Planet Labs analyzed by The Associated Press show that an informal landfill in Khan Younis that sprung up after Oct. 7 appears to have doubled in length since January. Since the Rafah evacuation, a tent city has sprung up around the landfill, with Palestinians living between piles of garbage.
Cholera fears
Doctors in Gaza fear cholera may be on the horizon.
“The crowded conditions, the lack of water, the heat, the poor sanitation — these are the preconditions of cholera,” said Joanne Perry, a doctor working in southern Gaza with Doctors Without Borders.
Most patients have illnesses or infections caused by poor sanitation, she said. Scabies, gastrointestinal illnesses and rashes are common. Over 485,000 diarrhea cases have been reported since the war’s start, WHO says.
“When we go to the hospital to ask for medicine for diarrhea, they tell us it is not available, and I go to buy it outside the hospital,” Al-Hurkali said. “But where do I get the money?”
COGAT says it’s coordinating delivery of vaccines and medical supplies and is in daily contact with Gaza health officials. COGAT is “unaware of any authentic, verified report of unusual illnesses other than viral illnesses,” it said.
With efforts stalled to broker a ceasefire between Israel and Hamas, Dalloul says he’s lost hope that help is on the way.
“I am 21 years old. I am supposed to start my life,” he said. “Now I just live in front of the garbage.”
In the searing heat of the Gaza summer, Palestinians are surrounded by sewage and garbage
https://arab.news/2mbsa
In the searing heat of the Gaza summer, Palestinians are surrounded by sewage and garbage

- Children trudge through water contaminated with sewage and scale growing mounds of garbage in Gaza’s tent camps for displaced families
- Aid groups say it’s made grim living conditions worse and raised health risks for hundreds of thousands of people
Greek ship sinks off Yemen after Houthi attack, crew being rescued, sources say

- Some of the crew were in lifejackets in the water and at least five people have been rescued so far
ATHENS: The Liberia-flagged, Greek-operated bulk carrier Eternity C has sunk after a Houthi attack off Yemen, four maritime security sources told Reuters on Wednesday, and efforts to rescue the crew were under way.
Some of the crew were in lifejackets in the water and at least five people have been rescued so far, two of the sources said.
Jailed PKK leader Ocalan says armed struggle with Turkiye over

- Ocalan urged Turkiye’s parliament to set up a commission to oversee disarmament and manage a broader peace process
Abdullah Ocalan, the jailed leader of the outlawed Kurdistan Workers Party (PKK), appeared in a rare online video on Wednesday to say the group’s armed struggle against Turkiye has ended, and he called for a full shift to democratic politics.
In the recording, dated June and released by Firat News Agency, which is close to the PKK, Ocalan urged Turkiye’s parliament to set up a commission to oversee disarmament and manage a broader peace process.
The PKK, which has waged an insurgency against the Turkish state for 40 years and is labelled a terrorist organization by Turkiye, the United States and the EU, decided in May to disband after an initial written appeal from Ocalan in February.
“The phase of armed struggle has ended. This is not a loss, but a historic gain,” he said in the video, the first time since he was jailed in 1999 that either footage of him or a recording of his voice has been released.
“The armed struggle stage must now be voluntarily replaced by a phase of democratic politics and law.”
Ocalan, seated in a beige polo shirt with a glass of water on the table in front of him, appeared to read from a transcript in the seven-minute video. He was surrounded by six other jailed PKK members all looking straight at the camera.
He said the PKK had ended its separatist agenda.
“The main objective has been achieved – existence has been acknowledged,” he said. “What remains would be excessive repetition and a dead end.”
Ocalan added that Turkiye’s pro-Kurdish DEM Party, the third largest in parliament in Ankara, should work alongside other political parties.
South Sudan says US deportees under government care

- The South Sudanese foreign ministry released a statement on the migrants saying: “They are currently in Juba under the care of the relevant authorities, who are screening them and ensuring their safety and well-being”
JUBA: War-torn South Sudan has said it is looking after a group of eight criminal migrants controversially deported from the United States.
Only one of them is from South Sudan. The administration of US President Donald Trump is trying to move unwanted migrants to third countries as some nations refuse to accept returnees.
The rest comprise two people from Myanmar, two from Cuba, and one each from Vietnam, Laos and Mexico.
The decision has been fought in American courts.
“They are currently in Juba under the care of the relevant authorities, who are screening them and ensuring their safety and well-being,” the South Sudanese foreign ministry statement said late Tuesday.
It did not give details, but said the “careful and well-studied decision” was part of “ongoing bilateral engagement.”
“South Sudan responded positively to a request from the US authorities as a gesture of goodwill, humanitarian cooperation, and commitment to mutual interests,” it added.
United Nations experts, appointed by the UN Human Rights Council but who do not speak on behalf of the UN, have criticized the move.
“International law is clear that no one shall be sent anywhere where there are substantial grounds for believing that the person would be in danger of being subjected to ... torture, enforced disappearance or arbitrary deprivation of life,” 11 independent UN rights experts said in a statement.
The deportees left the United States for South Sudan in May but their flight ended up in Djibouti when a US district court imposed a stay on third-country deportations. That ruling was overturned by the Supreme Court earlier this month.
The group arrived in South Sudan on June 5 with an official, speaking on condition of anonymity, saying they had been returned by US Marines.
Foreign ministry spokesperson Apuk Ayuel Mayen said Juba maintains a strong commitment to its people, including “its nationals returning under any circumstances” and “persons with recognized links to South Sudan.”
Simmering rivalry between South Sudanese President Salva Kiir and his vice president Riek Machar boiled over into open hostilities in March.
The tensions have raised fears of a return to full-scale war in the world’s youngest country, where a civil war killed some 400,000 people in 2013-2018.
Ghost camp: Israeli operations in West Bank push wave of Palestinians from their homes

- Israeli operations are pushing tens of thousands of West Bank Palestinians out of their homes
- Around 40,000 residents from the Tulkarm, Nur Shams and Jenin refugee camps have been displaced by the military operation this year
TULKARM: Malik Lutfi contemplated which of his family’s belongings to salvage in the few moments he was given while Israeli troops carried out home demolitions in the Tulkarm refugee camp where he grew up in the Israeli-occupied West Bank.
Now 51, the father of six has rented a small room in the nearby city of Tulkarm, but without access to his electronic repair shop in the cordoned-off camp, he has no income to meet the rent, sparking anxiety about his family’s future.
With bulldozers roaring outside, he said: “They kicked us out six months ago and we are still out. When you go back you try to bring anything you can, but in two hours with only our hands, you cannot bring many things.”
He said he knew many families in a worse situation even than his, pushed to living in crowded schools or on patches of farmland.
“We are waiting for help,” he said.
Israeli operations are pushing tens of thousands of West Bank Palestinians like Lutfi out of their homes, says B’Tselem, the independent Israeli human rights information center for the occupied territories.
Around 40,000 residents from the Tulkarm, Nur Shams and Jenin refugee camps have been displaced by the military operation this year, B’Tselem said.
Israel says it is acting against flashpoints of militancy, including the northern cities of Tulkarm and Jenin.
“This requires the demolition of buildings, allowing the forces to operate freely and move unhindered within the area,” an Israeli military spokesperson said in a statement on Tuesday.
“The decision to demolish these structures is based on operational necessity and was made only after considering alternative options,” the statement said.
Israeli demolitions have drawn widespread international criticism and coincide with heightened fears among Palestinians of an organized effort by Israel to formally annex the West Bank, the area seized by Israel in the 1967 Middle East war.
Reuters witnesses this week saw bulldozers plowing through buildings and wide, new roads lined by rubble that bulldozers had carved out by demolishing concrete homes. Residents piled chairs, blankets and cooking equipment onto trucks.
Tulkarm’s governor Abdullah Kamil said in recent weeks the destruction had intensified, with 106 homes and 104 other buildings in the nearby Tulkarm and Nur Shams camps destroyed.
“What is happening in Tulkarm is an Israeli political decision, the issue has nothing to do with security,” Kamil, the Palestinian governor, said. “There is nothing left in the camp, it has become a ghost camp.”
Israel’s northern West Bank operation which began in January has been one of the biggest since the Second Intifada uprising by Palestinians more than 20 years ago, involving several brigades of troops earlier this year backed by drones, helicopters and, for the first time in decades, heavy battle tanks.
SIMMERING SITUATION
As efforts ramp up in Washington and Qatar to secure a Gaza ceasefire deal, some international officials and rights groups say they are also worried about the simmering situation for Palestinians in the West Bank.
“In the northern West Bank, Israel has begun replicating tactics and combat doctrines honed in its current offensive on Gaza,” said Shai Parnes, public outreach director at B’Tselem.
“This includes increased ... widespread and deliberate destruction of homes and civilian infrastructure, and forced displacement of civilians from areas designated by the military as combat zones.”
Israeli hard-liners inside and outside the government have called repeatedly for Israel to annex the West Bank, a kidney-shaped area around 100 kilometers (62 miles) long that Palestinians see as the core of a future independent state, along with Gaza and with East Jerusalem as its capital.
Israeli government ministers deny that the West Bank operation has any wider purpose than battling militant groups. The Israeli military in its statement said it was following international law and targeting militancy.
Kamil, the Palestinian governor, said displacement was putting pressure on a community already reeling economically, with thousands sheltering in mosques, schools and overcrowded homes with relatives.
Returning for the first time in six months, Lutfi said he was shocked at the scale of damage.
“Most people when they come back to look at their homes, they find them destroyed, the destruction that meets them is enormous: wide streets, destroyed infrastructure and electricity,” he said. “If we want to rebuild, it will take a long time.”
Gaza doctors say Israel’s killing of a prominent colleague leaves a hard-to-fill void

- More than 1,400 Palestinian health workers have been killed in Gaza since the war began in October 2023, according to the United Nations
JERUSALEM: When the onetime director of a Gaza Strip hospital was killed by an Israeli airstrike last week, he joined a growing list of prominent Palestinian doctors who have died during 21 months of war that has devastated the territory’s health system.
The death of Dr. Marwan Al-Sultan, a 49-year-old cardiologist, was described by colleagues as a major blow personally and professionally, leaving another void in Gaza’s medical establishment that will not be easily replaced.
“He was one of two cardiologists, so by losing Dr. Marwan, thousands of people will lose and suffer,” said Mohammed Abu Selmia, a close friend of his for 15 years, and the director of Shifa Hospital, Gaza’s largest medical facility.
A photograph from 2022 shows Abu Selmia, Al-Sultan and 30 other leading doctors and medical experts in Gaza, all faculty smiling after the graduation of medical school students from Islamic University in Gaza City. At least five of those veteran doctors, mentors to the next generation, are now dead – each killed by Israeli airstrikes, except for one who died while in captivity in Israel.
Al-Sultan and three other specialists in the 2022 photo who were killed in airstrikes died during off-duty hours, though it is not clear if these were targeted killings.
When asked why Al-Sultan’s building was attacked last Wednesday, the Israeli military said it had struck a “key terrorist” from Hamas, without elaborating. The military said it “regrets any harm to uninvolved individuals” and that the “the incident is under review.”
It will take years to educate a new generation of surgeons and other specialists to replace the ones killed during the war between Hamas and Israel, Abu Selmia said. For now, hospitals have too few experts to provide urgent care at a time of extraordinary need, he said.
Hospitals across Gaza also face supply shortages amid steady Israeli bombardment that is resulting in a high number of wounded people seeking treatment on a near-daily basis.
A health care system in crisis
More than 1,400 Palestinian health workers have been killed in Gaza since the war began in October 2023, according to the United Nations.
The Israeli military has raided or laid siege to hospitals throughout the war, accusing Hamas of using them as command centers and to hide fighters, though it has only provided evidence for some of its claims. The World Health Organization has documented nearly 700 attacks on health care facilities during the war.
Al-Sultan gained respect and notoriety within Gaza’s medical community because he refused to leave his hospital in the northern Gaza city of Beit Lahiya, even when it came under attack. He was outspoken on social media about the dangers health workers faced in the hospital under Israeli bombardment and siege.
Al-Sultan was the last director of the Indonesian Hospital, the largest in northern Gaza before the Israeli military forced it to close in early June because of military operations around it.
In May, Al-Sultan described the difficult situation health workers at his facility faced. “We will keep holding on for our patients, for our jobs and our people,” he said in a video posted online by his hospital’s backers.
Al-Sultan had plenty of opportunities to practice medicine in other countries, said Dr. Mohammed Al-Assi, who studied with him in Jordan. But he decided to go home to serve in Gaza in 2019. Al-Assi, inspired by his friend, followed him.
When he heard the news of his killing, Al-Assi was shattered. “I’m wondering as any doctor would, was it his fault that he was helping people?”
Other former colleagues were similarly overwhelmed by news of Al-Sultan’s death.
“A wave of emotion hit me as I suddenly remembered our last video call — how he kept asking me about me and my family when it should have been the other way around,” said Dr. Emad Shaqoura, a former vice dean of the medical faculty at Islamic University who is now in the UK
The missile that killed Al-Sultan struck the third-floor apartment he was renting with his family in the Gaza City neighborhood of Tal Al-Hawa, witnesses and doctors said. His wife, a daughter, and son-in-law were also killed.
Another daughter, Lubna Al-Sultan, said the missile crashed into his room around 2 p.m., leaving other units in the building intact. The Al-Sultan family had been displaced from their home.
“It was not collateral damage,” said Dr. Hadiki Habib, chairman of the Indonesian humanitarian organization that built and funded the Indonesian hospital.
The day before he was killed, Al-Sultan spoke with Abu Selmia about how they would prepare a new schedule for cases and treatment. He was one of two doctors left capable of performing a procedure to diagnose and treat heart problems, said Abu Selmia.
“Dr. Marwan was the trainer and mentor for all those students in Shifa Hospital and in the entirety of Gaza City,” Abu Selmia said.
Other prominent doctors in Gaza have also been killed
In the 2022 photo of Islamic University’s faculty of medicine, four other members are also no longer alive.
— Dr. Adnan Al-Bursh, once the head of Shifa’s orthopedics department, died in Israeli detention, allegedly of ill-treatment, according to Palestinian authorities and advocacy groups. An independent autopsy on his body, which has not been returned to his family, has not been conducted. His wife said repeated requests to return his body have not been answered.
— Dr. Hammam Alloh, a kidney expert, was killed at home with his family by an airstrike in November 2023.
— Dr. Mohammed Dabbour, Gaza’s first cancer pathologist, was killed in an airstrike on October 2023, along with his father and son.
— Dr. Rafat Lubbad, head of internal medicine at Shifa and one of few specialists in autoimmune diseases, was killed in November 2023, along with 7 family members, in Gaza City.
Hospitals overwhelmed with casualties
Only 17 of Gaza’s 36 hospitals remain operational, according to the WHO, which says that all are struggling with severe supply shortages. Of the hospitals that are functioning, only 12 provide services beyond basic emergency care.
Conditions in northern Gaza, where Al-Sultan lived and worked, are particularly dire. The area has been site of some of the most intense Israeli military operations since the start of the war, and although there were many evacuation orders, many of its residents remain.
Abu Selmia considers what the future might hold for the doctors still alive and forever smiling in that 2022 medical school graduation photo. There are barely enough of them to tend to the vast numbers of sick and wounded, he said.
But he holds on to some small hope.
Al-Sultan’s son, Ahmed, is a medical student. “God willing, he will follow his father’s footsteps.”